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Food Insecurity and Healthy Behavior Counseling in Primary Care.

Andrea Nederveld1,2, Matthew Cox-Martin2, Elizabeth Bayliss1,3

  • 1Department of Family Medicine, University of Colorado Anschutz medical Campus, Aurora, Colorado.

Journal of Health Disparities Research and Practice
|July 23, 2021
PubMed
Summary
This summary is machine-generated.

Food insecurity (FI) in low-income families correlates with a higher perceived importance of discussing health behaviors but lower physical activity (PA). This suggests barriers, not unwillingness, impact health behaviors in food-insecure households.

Keywords:
Behavior counselingFood InsecurityObesityPhysical Activity

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Area of Science:

  • Public Health
  • Nutrition Science
  • Behavioral Science

Background:

  • Food insecurity (FI) is linked to obesity, but its impact on health attitudes and behaviors requires further investigation.
  • Understanding the relationship between FI and health behaviors is crucial for targeted interventions in vulnerable populations.

Purpose of the Study:

  • To examine the association between food insecurity (FI) and health attitudes, physical activity (PA), and childhood obesity.
  • To test the hypothesis that families experiencing FI report lower importance of discussing health behavior change, lower PA, and higher rates of childhood obesity.

Main Methods:

  • Cross-sectional analysis of data from 1048 low-income, Latino families with children aged 6-12 years.
  • Surveys assessed parental experience of food insecurity, perceived importance of discussing health behavior change, and children's physical activity.
  • Children's BMI z-scores were calculated; path analysis was used to test hypotheses.

Main Results:

  • Over half (56%) of families reported experiencing food insecurity (FI).
  • FI was positively associated with the perceived importance of discussing health behavior change (p < 0.001).
  • FI was negatively associated with children's physical activity (PA) (p=0.008); no significant relationship was found between FI and BMI.

Conclusions:

  • Food insecurity (FI) is linked to increased perceived importance of discussing health behaviors but decreased physical activity (PA).
  • Lower PA in food-insecure families suggests financial or other barriers, not a lack of willingness to engage in health discussions.
  • Healthcare providers should avoid assumptions about the willingness of food-insecure families to address weight-related health behaviors.